Financial Assistance
The Foundation's Eligibility Application for Financial Assistance form may be downloaded and/or printed by clicking here.
Directions for completing
the financial assistance form may be viewed or printed by
clicking here.
Poverty Level Schedule
Maximum Gross Monthly Income for a Household to Qualify for Foundation Assistance
Updated 150% Poverty Level - 2008
| Household Size | Total Monthly Income |
| 1 | $1,650 |
| 2 | $2,220 |
| 3 | $2,800 |
| 4 | $3,500 |
| 5 | $3,900 |
| 6 | $4,500 |
| 7 | $5,000 |
| 8 | $5,600 |
Please use these guidelines for the total household income when qualifying a case for financial assistance from the Florida Lions Foundation for the Blind, Inc.
Remember, if the patient
is a child, you must still qualify according to the total household income.
If a patient has Medicare, the Florida Lions Foundation does not get involved. The doctors,
facility, and anesthesiologist should take what Medicare pays as payment in
full.
Note: At the Foundation's annual meeting in May 2005, the Executive Board approved the Foundation paying for Bilateral Cataract Surgery only after receiving a denial from Division of Blind Services or Vocational Rehab.
Contact your district projects chairperson if you need clarification on the
above.
Beverly A. Kruger
MD-35 Projects Chairperson